Chimney Rock Registration

Workshop Registration Form:
Anasazi Pottery at Chimney Rock: ANCIENT CULTURE THROUGH POTTERY

Registering for:	Anasazi Pottery at Chimney Rock: ANCIENT CULTURE THROUGH POTTERY- Registration Closed~ Check back for future dates
Name:
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Workshop T-shirts for sale at workshop
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CHIMNEY ROCK TUITION*: Full fee required at time of registration	Personal Check, Travelers Checks, Money Order and PayPal Accepted

Print, fill in, sign and mail this form with your deposit. Sorry email registrations are not accepted.

Disclaimer: As a participant I am at least 18 years of age and understand that I am solely responsible for any illness or injuries that I may incur during the workshop and that I am responsible for all resulting medical costs or other expenses. Gregory Wood and Ancient Arts® has my permission to use any photos taken of me during the workshop for educational or promotional purposes.

Participant Signature and Date (required):

_____________________________________________________________ Date___________
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE

*Your tuition is refundable less a $50.00 administration fee if written cancellation notice is emailed or postmarked 45 days prior to the scheduled workshop. After that it is non-refundable unless the workshop is canceled or your space can be resold.
Lodging and meals are not provided. Limit one non-participant companion per paid registrant. No children or pets please.

Upon receipt of the registration form and deposit, you will receive an email confirmation.
Approx. 30 days before workshop, a course schedule and other related workshop information will be emailed as it becomes available.

We look forward to seeing you soon...
Please mail completed registration form and make payment payable to:
Gregory Wood
Ancient Arts® P.O. Box 27 Masonville, CO 80541

Established 1977
Updated 06/26/10
©1998-2010 All rights reserved. ArchæoCeramics™, ArchæoCeramist™ and Ancient Arts® are trademarks owned by Gregory S. Wood
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